Individual
MS. VICKY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
751 HENDRIE BLVD, ROYAL OAK, MI 48067-3150
(248) 541-3522
Mailing address
751 HENDRIE BLVD, ROYAL OAK, MI 48067-3150
(248) 541-3522
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703058700
MI
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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